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NDT Plus Advance Access originally published online on May 25, 2008
NDT Plus 2008 1(4):239-240; doi:10.1093/ndtplus/sfn053
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Urogenital mycoplasma: an emerging cause of deep wound infection after kidney transplantation?

Alexandre Loupy1, Olivier F. Join-Lambert2, Cécile-Marie Bébéar3, Christophe Legendre1 and Dany Anglicheau1

1 Service de Transplantation Rénale et de Soins Intensifs
2 Service de Microbiologie, Hôpital Necker-Enfants malades, Assistance Publique-Hôpitaux de Paris and Université Paris-Descartes, 75015 Paris
3 Laboratoire de Bactériologie EA 3671, Université Victor Segalen Bordeaux 2 and Centre Hospitalo-Universitaire de Bordeaux, 33076 Bordeaux Cedex, France

Correspondence: Alexandre Loupy, Necker Hospital, Kidney transplantation, 149 Rue de Sèvres, 75015 Paris, France. E-mail: alexandreloupy@hotmail.com

Key Words: kidney transplantation • Mycoplasma hominis • surgical complication • Ureaplasma urealyticum • urinary leakage

Received for publication November 19, 2007. Accepted for publication April 18, 2008.

The first 10% of the full text of this article appears below.


   Case reports
 
We report here three cases of mycoplasma deep wound infections that occurred shortly after kidney transplantation during a 12-month period in our transplant unit. For all cases, the diagnosis of mycoplasma infection was definite since at least three different samples were positive for mycoplasma for each patient, and no other bacterial pathogens were obtained on standard cultures. Bacterial identification was performed using A7 Mycoplasma agar plates (bioMérieux, Marcy l’Etoile, France) and the Mycofast Evolution 3® commercial kit (International Microbio, Signes, France), and confirmed by 16S rRNA sequencing.

A 64-year-old diabetic male was admitted in July 2006 for a first kidney transplant. At Day 19, a sudden decrease of the urinary flow . . . [Full Text of this Article]


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